Kupanda opaleshoni kungakhale ndi mavuto ochepa koma chiopsezo chachikulu cha kupumula
Kodi mankhwala ochiritsidwa a tchire Achilles amataya njira yabwino yopangira opaleshoni? Izi zakhala zikufufuzidwa kupitilirapo kafukufuku wofalitsidwa m'nkhani ya Journal of Bone ndi Joint Surgery inalimbikitsa mankhwala ochiritsira a Achilles tendon ruptures m'malo mokonza opaleshoni kwa odwala ambiri.
Kuyambira kufotokoza kwa kafukufukuyu, kafukufuku wina amayerekezera awiriwo ndipo ambiri amanena kuti opaleshoni imakhala yochepa kwambiri, koma kuchulukanso kwa zovuta za matenda aakulu, zodandaula zopanda zokongoletsera, ndi zovuta zapakhosi.
Chithandizo chodziletsa chingakhale chabwino kwa odwala omwe ali pulogalamu yowonongeka ndi oyambirira. Izi zidzapitirira kukhala nkhani yotsutsana. Nazi tsatanetsatane wa maphunziro kuti muthe kukambirana ndi dokotala ngati muli ndi chiphuphu cha Achilles.
Chithandizo chosagwira ntchito cha Achilles Tendon Kukwera
Kafukufuku wa 2004 adatsatira zotsatira za zaka zitatu za odwala omwe amatha kupweteka kwambiri m'matenda Achilles omwe anachitidwa popanda njira zopangira opaleshoni. Anthu makumi asanu ndi limodzi mphambu asanu ndi limodzi pa zana a iwo amalemba zotsatira "zabwino" kapena "zabwino". Zotsatirazi zinali zabwino kuposa gulu lomwelo lomwe linali ndi kukonza opaleshoni.
Chithandizo chopanda opaleshoni chinali ndi odwala omwe amavala zolimba kwa kanthaŵi kochepa, kenaka amasintha kupita ku khungu lakuthwa ndipo potsirizira pake amagwira ntchito yothandizira, yochotsedwa yomwe inkavala kwa mwezi umodzi. Chithandizo chachipatala chokwanira kwathunthu chimakhala chithandizo cha opaleshoni chomwe chimapangitsa kuti khungu likhale loponyedwa panthawi yochiritsidwa.
Phunziroli, odwala sanatengere nthawi yayitali ndipo adatha kuchotsa zojambulazo ndikuchita zozizwitsa.
Akatswiri ofufuza anapeza kuti pafupifupi onse (91 peresenti) a odwala omwe ankachita masewerawa asanavulaze anabwerera ku masewera. Ananenanso kuti vutoli limakhala lochepa kusiyana ndi kukonza opaleshoni.
Cholinga chawo ndi chakuti mankhwala atsopano osapanda chithandizo ayenera kukhala chithandizo cha chisankho pamene madokotala ndi opatsirana amaphunzitsidwa ndi kuphunziridwa mu ndondomekoyi.
Chomwe Chilibwino - Kukonza Kapena Kupanda Kusamalira kwa Achilles Tendon Kupuma?
Kufufuza kwa mayesero khumi omwe anawongolera mofulumira kuyambira 1980-2008 anapeza chithandizo cha opaleshoni kuti chikhale chabwino kusiyana ndi chithandizo chosagwira ntchito choletsa kubwezeretsedwa ndi kubwerera kuntchito, komabe chinali ndi chiopsezo chochulukirapo. Koma odwala onse ogwira ntchito komanso osagwira ntchito anali ndi chiwerengero chofanana cha kubwerera ku masewera omwe anali nawo asanavulaze.
Kufufuza kwina kwa mayesero asanu ndi atatu kunapeza zotsatira zomwezo. Anaganiza kuti chithandizochi chikanakhala bwino kwa odwala omwe anali ndi thanzi labwino koma osapereka chithandizo ndi njira yabwino kwa odwala okalamba.
Kukonzekera Kogwira Ntchito Kungathandize Kusiya Chithandizo Choyenera
Ngati muli ndi Achilles tendon kupweteka kuchipatala pamtundu umene umagwiritsa ntchito kukonzanso, ntchito yowonongeka yopanda opaleshoni ikhoza kusankha bwino. Kafukufuku wa maphunziro khumi anapeza kuti pamene akuchiritsidwa motsatira ndondomeko zoyendetsa kayendetsedwe koyambirira, kubwezeretsa kachiwiri kumakhala kofanana ndi odwala opaleshoni, popanda chiopsezo chowonjezereka chowoneka m'mavuto opaleshoni.
Ngati pulogalamu yowonongeka yogwira ntchito siilipo, ndiye kuti opaleshoni mwina ndi yabwino.
Zotsatira:
> Jiang N, Wang B, Chen A, Dong F, Yu B. "Zochita Zotsutsana ndi Opanda Opanda Ntchito Zopangira Achilles Achimake Tendon Kukweza: Meta-Kulingalira Mogwirizana ndi Umboni Weniweni." Zojambula zapadziko lonse 2012; 36 (4): 765-773.
> Soroceanu A, Sidhwa F, Aarabi S, Kaufman A, Glazebrook M. Opinga Opaleshoni Kuchiritsira Kwachimake Kwa A A > chilles > Tendon Kupita: A Meta-Analysis of Randomized Mayesero. Journal of Surgery and Bone Joint Surgery. Buku lachimereka la 2012; 94 (23): 2136-2143
Wallace RG, et. al. "Otsogolera Otsogolera ndi Othandizira Omwe Amagwira Ntchito Zopindulitsa za Achilles Tendon." J Bone Opaleshoni Yophatikiza Am. 2004 Jun; 86-A (6): 1198-202.
Wilkins R, Bisson LJ. Zochita Zotsutsana Ndi Zopanda Ntchito Zopanda Ntchito za Achilles Achimake Tendon Ruptures: Kuwerengera Kwambiri Kwambiri kwa Machitidwe Odziletsa Okhazikika. Zolemba za American Sports Sports Medicine 2012; 40 (9): 2154-2160.
> Zhao HM, Yu GR, Yang YF, Zhou JQ, Aubeeluck A. Zotsatira ndi Zowopsya Zogwira Ntchito ndi Zopanda Ntchito Zochiritsira za Achilles Achimake Tendon Kukweza: A Meta-Analysis. China Medical Journal 2011; 124 (23): 4050-4055.